NPIMap

Organization Active NPI

Vein Specialists, P.a.

Doing business as Medicus Veincare

  • Vascular & Interventional Radiology Physician
  • Jupiter, FL
National Provider Identifier
1043406838
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME 62477 Issued in FL
Legal business name
VEIN SPECIALISTS, P.A.
Doing business as
Medicus Veincare
Practice address
5155 Corporate Way Ste a
Jupiter, FL 33458-4359
Phone
(561) 624-0123
Fax
(561) 624-1453
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven M. Tidwell, M.D.
Title
President
Phone
(561) 624-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X ME 62477 FL Primary

Addresses

Primary practice location

5155 Corporate Way Ste a
Jupiter, FL 33458-4359

Mailing address

5155 Corporate Way Ste a
Jupiter, FL 33458-4359
Phone (561) 624-0123

Other names 1

  • Medicus Veincare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1043406838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 CORPORATE WAY STE A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584359",
            "telephone_number": "561-624-0123",
            "fax_number": "561-624-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 CORPORATE WAY STE A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584359",
            "telephone_number": "561-624-0123",
            "fax_number": "561-624-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-624-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME 62477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicus Veincare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicus Veincare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.